HomeMy WebLinkAboutPermit Signage 2010-6-2
~! 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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. r 1 Site Address: '(-(7'1 //II/IA) ::3-T
~ Assessors Map~J 702- S Z. 3. Z.
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~ Address:.. .,< 33 ~AJ A-tJF
~1 City ~l/JG'firdLJ &JSstate me>.
~1 Business Name, Firm, etc. (J f 1r.;/4-L y Jlu m _
- ~l Description of Proposed Sign(s): . (please check and complete all appropriate information)
~ I V Wall Freestanding Projecting Roof
~i t/ Single Face Double Face Billboard Other
~' .l ' Square Footage: .j AD Total Height above Grade: /81
;-1" 'Ii ertical Dimension of Sign or Enclosure: Sf 3 i 2-' t' Horizontal Width of Sign or Enclosure: 13 '{, q f
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, Dimension from Grade to Bottom of Sign Enclosure / '""- ' Electncallnstallation:_4:::Yes _No
(If yes additional electrical permit required)
Value of Sign: p //3::>
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~j Sign District:
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~.'" .1.... ~ By Signature. ' I state and agree, that I have carefully examined the completed application and do hereby certify that all
r ! ,I information herein is true and correct, and I further certify that any and all work performed shall be done in accordance with
J the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I
.1~1 further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project.
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Plan Review Fee of $40 per sign is due with application.
Tax Lot:
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Phone: ,/17 - 802 ~:lt 71
Zip &6'tt>,3
Marquee
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Material Sign is Constructed of: lc:nJ.A(, AAdlJ//1IJ1LhI
List ALL existing signage and attach a photograph of each sign:
(a) TYPef6t..G Sq. Ftg. '/O() (b) Type.:5/FtLJ4lA- ill
(c) Type ~/F ltJ/U.L C. Sq. Ftg. ./~ (d) Type ~V!PALL f.J).
. Sq. Ftg. /2LJ
Sq. Ftg. /CJ!
Pbooe:S#- 48~ -~~
ContractorlInstaller: 25 ,f A ;;;;b~)
Address: R9q.~ :-/~iG L 1>.
City: GcL~ F~I ,
Construction Contractors Registration Number: It :st.(7D
Zip: tf7t/o2-
Expires: 3 -/~. 2011
State: {]f.
OFFICE USE
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Zoning:
I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the
street, that the permit card is loc at the front of the property, and the approved set of plans will remain on the site at all
times d 'n t install tion .the gn(s).
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Date
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SIGN PERMIT APPLICATION
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The application on the reverse side needs to be completed entirely. If you are the sign contractoriinstal!er, or if you are hiring a
contractor, you need to make sure that their Registration Number from the State of Oregon Construction Contractors Boards
are listed on the application along with the expiration date of each. '. '." '. '.'.' "
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If the sign you are proposing to install is illuminated, an electrical permit application also needsto be completed ,,!,d signed by
.,.:):eiJ:her~ a s~~,~ryis.ing elec!D~ian, limited sign electrical contractor, or ifyou:ar,eJhe. b.usirte~s o~'e! who'alsq9~s !lie\building
in -;;,fiich you are occu'pyirig, and you will be performing the electrical insmlhiti6p yourself; youmay,signtpe.electrical
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If there .ti.~b~~~g.~all and/or freestarldi:g'Signs, a photograph(s) o~ existing sign ne~ds to .be ~tf~Ei,~iFt~ t~'io~p.Plication.
The size of each existing si~ ~lso needs to be liste,~_q~:'e,~~.~~l~~.~~q~,.:~\ ' ~; ~:'\ >: ,~-::;\. \.
PLANS
To submit for a sign permit, you need to prepare two complete sets of drawings showing all dimensions, total height, and a plot
plan indicating where the proposed sign will be located. If you are installing a freestanding sign which exceeds 20 feet in~otal
height, the footing detail needs to be prepared and stamped by a registered engineer or architect. After the plan review I'roCess
is completed, and, if your sign(s) is approved, one set of plans will be returned to you. The approved set of drawings ne~ds.\lo
be at the site when an inspection is requested for the inspectors' reference.
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v ',,, INSPECTIONS
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Depending on your sign(s), you may be required to request one or.all of the following inspections during the installation of
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your SIgn. . .' . , ' .
Site:
To be requested after indicating on the lot wl)"r~\!!1.e,\P~~W_~~~.<j. si~,~J.I.g~located but prior to any work
being performed for the installation of the sign. This inspection is required if there is a question on the
location of the proposed sign. ' '
Footing: To be requested after excavation and 'the forms are installed, but prior to pouring concrete. If there will be
(~s.:. '. electrical con~,~t p~~e,~,~~}~e{ooting, it must also be'jn,?!a.c~ prior to requesting inspect~~n~ ,;, .
Attachment::}' \ To be requeste<;twh9p.)l~1;f~teri~s are installed but prior'tltc<?~er. .....' __;. ~'.. ~<(~~:;i: \~
Electrical:
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. Final:
To be requested after the electtical connection to the sign is made, bur prior to energizing.
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After all required inspections are conducted and approved and',the sim installation is compl<,te. >
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. ;The)rispections that are required'f9fYour sign installation will be indicated on your permit. FailUfe;to.r~fl~~~f~ of the
required .in1pections could resulf iri'sign removal in order to ins~e~t ~?e si~ at the required int~ivals'of work. -
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To request an inspection, phone 726-3769. This is a 24 hour recording. On the recording you will need to leave your City
Designated Job Number, location of where sign is being installed, the type of inspection you are requesting, and when you will
be ready for the inspection. All inspections called in to the recorder prior to 7:00a.m. will be made the same working day, all
inspections phoned in after 7:00a.m. will be made the following work day. .
If you have any questions regarding the application, required plans or inspections; please feel free to phone the Building Safety
Division at 726-3759.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
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225 FIFTH STREET. SPRINGFIELD, OR 91477 . PH:(541).'26~3753 . FAX: (541)726~3689
ELECTRICAL PERMIT APPLICATION
City Job Number .c.OlAA ZOI o. 00 7( 7
ZON
INITIALS
DATE
SOURCE
Date
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1. 'LOCATIONOFINSTALLATION::l">;:,t,,\i:1' 3.
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LEGAL DESCRIPTION:
J 702- "3 Z -S 2-
JOB DESCRIPTION:
A.
02Z00
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
(j)ttJIJ({ ~G,,p
$ 19.00
Permits are non-transferable and expire if work is
not started within 180 days'ofissuance or if work is_
Suspended for 180 days.
$50.00
2.
B.
Electrical Contractor Es f Jl ~/(;tf.) 200 Amps or less $ 63.00
() . 201 Amps to 400 Amps $ 75.00
Address ?;~q7:S ilYfle/G e6. 401 Amps to 600 Amps $125.00
.r. ,_' . ,mEN!}O."-" Oredffi\ ~w~~~1omlO $163.00
City ~-,G1.X Phone 5<11- ~'fflD.~-'iioptliltt!ylWVll ~Iity $375.00
. . Notification Center.FJlqQB$'JUl@s.esiitforth $ 50.00
I~n OAR 952-OO1-OO10..r~~~'~A95!,.2:~,,,.,.,,,~,,,,.,,,x,,,,,,,,,,.~c,,.,......"'" '..<','.! ,,,"''''''..,'''',,'..,
S - L- N b ~/J Jlqumayobtal. ~Y,i:-es\!'t e'S";~Fe~aefs~?0;?1St01~1k~&i/jff,~ijf~;;[:hkrifri~~JAir;z;s;
upervlsor lcense um er , ) '7 tn-g the center. "(NO~i;re't8f~:=""'\,"':''''';i;''H''''''i;,I"",iljii;;).?;J!1S,''''Jlk''''..t,:liil[#.Jl
Expiration Datft/ /2/30/2"'" / number for the OI!!9\l.n,H~!1~ N9~ratIon or Relocation
-,... ~ _ Center II 1'~-"'~' . ,
200 Amps or less .
201 Ampsto 400 Amps
'4,0 I Amps to 600 Amps
Con~~. ContL Number . / t 3 if?D
Expiration D~te -.J -/ t. 2()/ f
$ 50.00
$ 69.00
$100.00
Signature of Supervising Electrician
D.
New Alteration or Extension Per Panel
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One Circuit
Each Additional Circuit or with
Service or Feeder Pennit
$ 43.00
Owners Name 'B11<<~Gi.. PI2,of'6t.--J.,'C3
Address 82230 -RML~~AtE R-'"
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City Dcz(Tt-(L Phone N01\C~: <"'.i~-r'!';~:~~tf~~~i~~":. 7 ~:~~
OWNER INSTALLATION 1\115 PERMIT S"'~~f\\~~q~~ti~J.:;, . $ 2500
The mstallation IS being made on property I A'tli\~~lEO UN~~9i:ra{t.1i1~r&~n:~:cial .' $ 45.00
IS not mtended for sale, lease or rent. CONlNlENCEQ..o~~_pectric Permit Inspection Fee is ~O + Surcharges
"80 DA'i~\:.t\!\J~>'.._" 'l?"'1f.,.",~ "','if> "'cC" ";,.......5t!.",,.
A"'{ I 4 . SUBTOT.'N.' o "ABOVE"", .",~"",.":<"".,,, b 3>
Owners Signature: l'i. ;', ,;.~_"--"",,.{-\. "J ~'?E"""(;":;;\:-\>l "~~,,":;.
. IF. J.i:s;a;~'~~;~h;;;~'~ ;2'70 * ,>,~,>""K: . ,,",," 7 S '"
$J, ~~,-iJ'-'-~. ~.\d~;~:~~~;~~;~~:F.. 31r
y , I^~ 73_71
Inspection Request: 726-3769 ~ . . \Y' O"TOTAL
~ Shared Dnve(T:)/Building Fonns/ElectricaJ Pemit ApplicaLion 8-06.doc
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$ 3.00
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225 Fifth Street, Springfield, OR
, 541-726-3753 Phone
541-726'3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00717
ISSUED: 06/10/2010
APPLIED: 06/04/2010
EXPIRES: 12/10/2010
VALUE: $ 1,130.00
Status
Issued
SITE ADDRESS: 4199 MAIN ST
ASSESSOR'S PARCEL NO.: 1702323202200
Springfield TYPE OF WORK: Sign
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Sign - OReilly Auto Parts wall sign.
Owner: BARBER PROPERTIES LLC
Address: 82230 RATTLESNAKE RD
DEXTER OR 97431
Contractor Type
Electrical
Sign
I CONTRACTOR INFORMATION .
Contractor License
E S & A SIGN CORP 163470
E S & A SIGN CORP 163470
I BUILDING INFORMATION'
Expiration Date
03/16/2011
03/16/2011
Phone
541-485-5546
541-485-5546
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# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# ~f Stories:
Height of Structure I es you to
!~OlttIaW requ r II....
ATTENT' .. ~:bY the Oregon Ut1~rth
101l?W ~I eJ:iIlY~ose rules; ::i.oo1-
Not\lIcatlO __i!lJ\llrOUgh 0 th rulea....
In OAR 95 ~ ",",v ~"s 01 e "V
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Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
.Occupant Load:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
. # Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
" .'. . . "/"'''6C;:;~,'N,,:rn'':JW~~~;J_ns:
" ~~1\t.tt:;;~:~~~~t 'EY-P\RE 'f 1~E \S NOI
1\1\S PE"~~ ~~DER 1~\S PE~~ri'\OR
iAUTHORll OR IS f\BA1\\OO
COMMtNCD~~ PERIOD.
ANY "180 '
Notes:
'Page I of3
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
;'
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00717
ISSUED: 06/10/2010
APPLIED: 06/04/2010
EXPIRES: 12/10/2010
VALUE: $ 1,130.00
Status
Iss u ed
I Valuation Descriotion I
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Si2n
Tvpe of Construction
Use Bid Amount
$ PerSq Ft
or multiplier
$1'.00
Square Footage
or Bid Amount
1,130.00 ,
Value
Date Calculated
Descriotion
Total Value of Project
$1,130.00
$1,130.00
06/07/2010
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Fee Description
Sign Plan Review
***+ 100/0 Administrative Fee***
+ 12% State Surcharge
+ 5% Technology Fee
Sign - Outline Lighting Each
Sign 101-150 Square Feet
Amount Paid
Date Paid
Receipt Number'
$42.00
$16.00 '
$7.56
$11.15' '
$63.00 :',
$160.00
''614/10
6/10/10
" '.. 6/10/10
6/10/10
6/10/10
6/10/10
1201000000000000608
1201000000000000641
1201000000000000641
1201000000000000641
1201000000000000641
1201000000000000641
Total Amount Paid
$299.71
Sif!D Review
06/07/2010
I Plan Reviews ~
06/07/2010 AP.p DJB
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To Request an inspection call the 24 hour'recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, in;pections requested after 7:00 a.m. will be made the following
work day.
l.....Re{]lIiredJnsne~tions ~
Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of bolts or welds.
Sign Electrical: After connection is made but prior to energizing.
Sign Final: After all required inspections are conducted, a~d approved and the sign installation is completed.
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Status
ISsued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00717
ISSUED: 06/10/2010
APPLIED: 06/04/2010
EXPIRES: 1211012010
VALUE: $ 1,130.00
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I fnrther certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety,
I further certify that only contractors and employees wbo are in compliance witb ORS 701.005 will be used on this project,
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that l~ permit carJl is loc ed at the front of the property, and the approved set of plans will remain on the site at all
t~~es dn 'g/constrnction. ~ _ . ____ "", , 6 _( tJ _( ()
r Contractors Signature
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City of Springfield Official Reeeipt
Development Services Department
Public Works Department
225 Fifth Street
. ..
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
1201000000000000641
8:31:52AM
Date: 06/10/2010
Job/Journal Number
COM2010-00717
COM20 1 0-00717
COM20 1 0-00717
COM20 1 0-00717
COM20 1 0-00717
Payments:
Type of Payment
CreditCard
cReceintl
'..'~:~~~t
~,~'~j~:;~ ~
Amount Due
160.00
63.00
. 7.56
11.15
16.00
$257.71
Description
Sign 101-150 Square Feet
Sign - Outline Lighting Each '.0'
+ 12% State Surcharge
+ 5% Technology Fee
***+ 10% Administrative Fee***
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Paid By
ES AND A SIGN CORP
Item Total:
Check Number Authorization
Received By Batch Number . Number How Received
djb 010138 In Person
Payment Total:
$257.71
$257.71
Amount Paid
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